A Quarterly Newsletter of National Institute of Health and Family Welfare Vol. XI, No. 4, October-December, 2009 MATERNAL AND CHILD SURVIVAL: Challenges and Solutions and many un-shared responsibilities. Similar situation he National Rural Health Mission (NRHM), prevails at the PHCs as well where the MOs are in a a flagship programme of the Government of disadvantaged position. The flux of migration into India, has gained momentum across the T the city results in a burden on its health and social length and breadth of the country, with varying pace structures and also has a direct negative bearing on the among the states as well as among the districts. public transportation system, housing, water, Reasons for these variations are generally linked with employment and education in cities and agricultural infrastructural gaps, human resources and managerial production in rural areas. Therefore, one of the aspects. By and large, positive political and options for the states is to mobilize the rural bureaucratic commitments are visible. The unemployed youths of the deprived blocks to own Millennium Development Goals 4 and 5 with special four-wheelers on focus on maternal loan and may be and child health and given driving their survival training. Also, a aspects, are critical cluster of villages for the overall may be allocated to achievement of all them for running the 8 MDGs. Since these vehicles to all these goals are and fro at defined interdependent, the intervals so that not convergence of only the villagers different social have an easy access sectors under the to health care NRHM has been services at block r i g h t l y headquarter/distric conceptualized. t headquarter but also the health functionaries like the ANMs, supervisors and MOs can commute easily to The situation in rural India, specifically some of the and fro. disadvantaged states (EAG states), deserves a larger inter-sectoral convergence. The most frequently Constructing the rural roads and connecting them reported research finding is 'poor attendance of the with blocks and districts is badly needed. Districts like ANMs at the sub-centre level' which is attributed to Lalitpur in Uttar Pradesh, one of the districts with the lack of habitable environ, housing, facilities for poorest RCH indicators; lacks transport facilities education of their children, public transportation, despite good roads for commuting by the health care supportive supervision, performance-based reward in seekers and providers. addition to long distance from the block headquarters
Transcript
A Quarterly Newsletter of National Institute of Health and Family WelfareVol. XI, No. 4, October-December, 2009
MATERNAL AND CHILD SURVIVAL: Challenges and Solutions
and many un-shared responsibilities. Similar situation he National Rural Health Mission (NRHM), prevails at the PHCs as well where the MOs are in a a flagship programme of the Government of disadvantaged position. The flux of migration into India, has gained momentum across the Tthe city results in a burden on its health and social length and breadth of the country, with varying pace structures and also has a direct negative bearing on the among the states as well as among the districts. public transportation system, housing, water, Reasons for these variations are generally linked with employment and education in cities and agricultural infrastructural gaps, human resources and managerial production in rural areas. Therefore, one of the aspects. By and large, positive political and options for the states is to mobilize the rural bureaucratic commitments are visible. The unemployed youths of the deprived blocks to own Millennium Development Goals 4 and 5 with special
four-wheelers on focus on maternal loan and may be and child health and g i v e n d r i v i n g t h e i r s u r v i v a l training. Also, a aspects, are critical cluster of villages for the overa l l may be allocated to achievement of all them for running the 8 MDGs. Since these vehicles to all these goals are and fro at defined interdependent, the intervals so that not convergence of only the villagers d i f ferent socia l have an easy access sectors under the t o he a l t h c a r e NRHM has been services at block r i g h t l y headquarter/districconceptualized.
t headquarter but also the health functionaries like the
ANMs, supervisors and MOs can commute easily to The situation in rural India, specifically some of the and fro.disadvantaged states (EAG states), deserves a larger
inter-sectoral convergence. The most frequently Constructing the rural roads and connecting them reported research finding is 'poor attendance of the with blocks and districts is badly needed. Districts like ANMs at the sub-centre level' which is attributed to Lalitpur in Uttar Pradesh, one of the districts with the lack of habitable environ, housing, facilities for poorest RCH indicators; lacks transport facilities education of their children, public transportation, despite good roads for commuting by the health care supportive supervision, performance-based reward in seekers and providers.addition to long distance from the block headquarters
home/family level interventions are easy to follow. It
Capacity building is important and critical to any is reported that around 30 per cent of the newborns
health care delivery both in terms of quantity are either premature or under weight, thus, become
(coverage) and quality (satisfaction of the seekers). vulnerable. It is also estimated that 5 to 8 per cent of
There is a definite need than ever before to synergise these babies need institutional care. Unfortunately,
the multiple vertically running trainings under the hospitals are ill-equipped to handle this load in
RCH (26 different trainings are existing as on date). In majority of the places. NNF has formulated quality
most of the deprived states, the frequent vertical norms for the level two that covers most of the sick
public health disease eradication rounds add to the neo-nates and level three that recommends ventilator
insufficient time that is left for actual service delivery support for the neo-nate. Policymakers should look
for other RCH aspects by the already stretched into these aspects. Health insurance of the neo-nates
insufficient health manpower in most of the places. is yet to be developed and care of the sick neo-nates in
Demand for the services of Accredited Social Health the private sector is too costly. Care units for the sick
Activists (ASHAs) and other audio-visual channels neo-nates, particularly in states with high infant
are on the rise. Schemes such as Janani Suraksha mortality rates, should be developed and
Yojana (JSY) and many other similar schemes in strengthened on a war footing. This is vital since we
other states like MAMTA in Delhi and Chiranjeevi in have only six years from now to deliver the MDGs.
Gujarat, etc. have also been
proved helpful in improving The DLHS-III and NFHS-
the demand. The demand III report a high level of
and supply of the health care malnutrition amongst <5
services have reached an all years children, specially in
time high which require a EAG states. As a part of
serious revamping of the HBNB, IYCF and IMNCI
policies at the national as well strategies, the role of ASHAs
as at state levels. and Anganwadis at the
community level is very
Neo-natal survival is crucial important. India doesn't have
for child survival. 55 to 65 per the required number of good
cent of the infant deaths referral health facilities for
occur at the neo-natal stage d e d i c a t e d
and most of these are treatment/management of
preventable. Traditionally, a severely malnourished <5
neo-nate is not considered significant since it doesn't years children. It is a challenge for most of the states.
carry any financial or social stake at this stage. It is expected that the programme officers at different
Fortunately, this irrational mindset is now changing. levels of public health should strive to strengthen the
The acceptance of small-family norm by many is also service delivery that would provide better and
a reason for the proper care of the infant/child. improved treatment of the <5 malnourished children.
ASHAs and Anganwadi Workers can persuade and Policy support by the bureaucracy and political
motivate the families to understand the virtues of commitment in letter and spirit are again crucial in this
ante-natal registration and care, IFA and healty diet endeavour.
during pregnancy and lactation, early initiation of
breast-feeding, colostrum-feeding, keeping the baby (By Dr. D.K. Dewan, State MCH Officer,
warm at birth by preventing exposures to waft of cold Government of Delhi)
air, etc. They should also encourage them for clean
delivery at the health facility centre, institutional
delivery by skilled personnel, exclusive breast-feeding
for the first six months followed by home-made
healthy-weaning feeding, immunization, etc. These
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EventsVigilance Awareness Week
Vigilance Awareness Week was observed in the Institute during 3-7 November, 2009. Director and staff members took a pledge on 3 November, 2009 to root out corruption in any form and bring transparency in their official functioning to strengthen the nation's democratic set-up.
NRHM ActivitiesWorkshop Organised
Workshop for Piloting Foundation Course for Reorientation of Medical Officers in Basic Essential Obstetric Care (BEmOC)
Dates: 27 – 28 November 2009Coordinator: Prof. S. Menon
The workshop aimed at finalising the training materials and methodology for the reorientation of Medical Officer in Basic Essential Obstetric Care. The two-day workshop was organised by the MOHFW and NIHFW in collaboration with the Liverpool School of Tropical Medicine (LSTM), Liverpool, UK, and 21 participants were trained.
Meetings
Review Meetings for Training under NRHM were held on 8, 9 and 13 October 2009. The meetings were attended by around 109 participants including; officials from MOHFW, i.e., DC (Family Planning), AC (Maternal Health), AC (Training), Consultant (Leprosy) and Consultant (Training) and representatives from donor agencies like USAID, World Bank as well as from 30 States. The State-wise representation include Delhi-11, Tamil Nadu-5, Maharashtra-5, Goa-1, Kerala-2, Karnataka-2, Andhra Pradesh-2, Daman & Diu-1,Gujarat-2, Chhattisgarh-3, Bihar-3, Himachal Pradesh-3, Arunchal Pradesh-1,Orissa-5, Jammu and Kashmir-3, Madhya Pradesh-3, Haryana-3, Jharkhand-2, Uttar Pradesh-2, Rajasthan-1, Uttarakhand-1, Chandigarh-3, Meghalaya-5, Assam-2, Sikkim-2, West Bengal-3, Manipur-5, Nagaland-2, Tripura-1 and Punjab-3.
Visits
Prof. K. Kalaivani, Nodal Officer, visited Meghalaya during 4-11 November, 2009 to monitor the implementation of various RCH activities. Also, consultants of the RCH project visited Bongaigaon, Dhubri, Barpeta and Nalbari in Assam and Mandi in Himachal Pradesh in November 2009.Consultants also visited Wardha, Nagpur, Gadchiroli, Pune and Nasik in Maharashtra to assess the EMoC Training of Medical Officers under NRHM/RCH-II, during November and December 2009.
4
Training Courses/Workshops/MeetingsS. No.
Date Coordinators Title Objective No. of Partici-pants
State-Distribution
wise
1. 5-9 Oct.09
Dr. K.S. Nair
Training Course on Basic Health Economics and Financing
To provide basic understanding of the key issues in Health Economics and
Financing for decision making in health sector.
30 Andhra P. -2, T.N. -5,
M.P. -6,
U.P. -4,
Delhi-9,
J&K-1,
Guj.-2 and
Pondicherry-1
2.
5-10 Oct.09
Prof. U. Datta
Management Training for In-Charges of CGHS Dispensaries
To build capacity of in-
charges of CGHS dispensaries regarding management of dispensaries.
29
Delhi-19, Raj.-3,
U.P. -5,U.K.-1 and
Chandigarh-1
3.
12-14 Oct.09
Prof. M.
Bhattacharya
and
Dr. Deepak
Training of Trainers of Medical Officers in Immunization
To familiarize the trainers with the contents and methods for Immunization of Medical Officers to enable them to effectively conduct divisional/district level trainings of Medical Officers.
26
Meghalaya-5,
UP-12, Raj. 2,
Haryana-6
and Delhi -1
4.
13-14 Oct.09
Prof.S.Vivek Adish
Orientation Workshop for Surveillance Staff Officers on Urban Disease Surveillance Project (MCD)
To orient the selected Nodal Officers of reporting units on Urban Disease Surveillance Project
28
Delhi-28
5.
15-16
Oct.09
Prof.
S.
Vivek Adish
Orientation Workshop for Surveillance Staff Officers on Urban Disease Surveillance Project (MCD)
To orient the selected Nodal Officers of reporting units on Urban Disease Surveillance Project
31
Delhi-31
6
22-23
Oct.09
Prof.
A M Khan
Workshop on Standardization of Health Guideline for Old Age Home
To develop a standard guideline for safeguarding health care of inmate of the old age home.
14
Delhi-6,W.B. -1, Andhra Pradesh-1, Karnataka- 4
and
Maharashtra -2
7
26-30
Oct.09
Dr. KS Nair
and Dr. S.S. Pachouri
Training Course on Health Financing for Mid/Senior level Health Managers
To provide a basic understanding of the key issues in health financing.
Training cum Workshop on Counseling Skills for Health Professionals
To enable the health professionals to develop the competencies in some basic counseling skills in order to promote quality of health care as well as support and assist the clients to find suitable solutions to health related problems.
23
TN-1, UP-1, Delhi-9, Maharashtra-3, Nagaland-2, Andhra Pradesh-2 and Haryana-2 and Army-3
9 26-30
Oct. 09
Prof. J.K Das
&
Prof. U. Datta
Training Course on Epidemic Preparedness and Response
To train the Medical Officers/Programme Officers at all the levels of health care delivery system on various aspects of epidemic preparedness and response with a view to make them more effective in management of epidemic.
17 Haryana-5, Delhi-7, Kerala-1, Punjab-3 and
Rajasthan-1
10
9-20
Nov. 09
Prof. A.M. Khan
Training Course on
Health Systems Research
To promote mindset fordatabased decision and working for the solutionsof the problems by using the scarce local resources andthe people. .
42
Goa-1, UP-1, J&K-1 and Gujarat-1
and
NIHFW
students
(DPHM&DHA)
- 38
11
16-27
Nov. 09
Prof. M.M. Misro and
Prof. T.G. Shrivastav
Training Course on Application of Research Techniques in Reproductive Bio-medicine
To enhance the knowledge of the participants about some of the research techniques in Reproductive Biomedicine and to strengthen their
research skills in this field.
18
AP-1, UP-2, Raj.-2,
Guj.-2, Pondicherry-2,
Karnataka-3, Delhi-4 and
Maharashtra - 2
12
16-20 Nov. 09
Dr. P. Swain
and Dr. H. Meitei
Training Course on Statistical and Demographic Data Analysis for Health Personnel
To enhance the knowledge of the
participants in data analysis and generating and understanding
of the
information for decision-making to perform their job responsibilities.
29
Maharashtra-6, UP-4, TN-2
Punjab-2, Chandigarh-1,
Delhi-6, Karnataka-1,
Raj.-4, Chandigarh-1 and -Sikkim-1
13
16-18
Nov. 09
Prof. M. Bhattacharya and
Dr. Deepak
Training of Trainers of Medical Officers in Immunization
To familiarize the trainers with the contents and methods for Immunization of Medical Officers to enable them to effectively conduct divisional/district level trainings of Medical Officers.
24
UP-14, MP-1 andOrissa - 9
6
14 13-14 Nov. 09
Prof. U. Dattaand
Dr. S. Gupta
Public Health Conclave To provide a platform for various institutions and associations working in the field of public health for discussing present and future challenges in the field of public health to frame the strategies for raising the public health standards in the country.
Training of Trainers of Medical Officers in Immunization
To familiarize the trainers from the states with the contents and methods for Immunization of Medical Officers to enable them to effectively conduct divisional/district level trainings of Medical Officers.
22
Chhattisgarh-6, Orissa-14 and
Dadar & Nagar Haveli-2
18
7-18
Dec. 09
Prof. V. K. Tiwari
Training Course on Health Policy Programme, Planning & Management under WHO
To develop the skills of administrators on health policy, planning and management of health programmes.
6
Bangladesh-6
19
7-11
Dec. 09
Prof. Rajni
Bagga
Management Development Programme on Behavioural Skills for Senior Health Administrators
To train the master trainers to enhance the managerial competencies of senior health administrators in human resource management in order to
make them more effective and efficient in the execution of health and family welfare programmes.
27
Orissa-1, UP-3, J&K-1, AP -1, Haryana-1, Chandigarh-1
Assam-3, Gujarat-1,Karnataka -2, Maharashtra-6, TN-2, Delhi -2, Meghalaya-2 and
Manipur-1
20.
17 Dec. 2009
Dr. Meerambika Mahapatro
National Health Information Collaboration Workshop for Collaborating Partner Institutions
To establish partnership with institutions for online National Health Information Repository through National Health Information Collaboration for wider utilization of one-point source for authentic and vital health information.
40
New Delhi - 29, MP-1, UP-3, Kolkata -2, Pondicherry-1, Gujarat-2, Maharashtra -1 and
Punjab-1.
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Dr. Jyoti Singh, Consultant, PPD and Permanent Observer at UN, delivered a lecture on ICPD and Millennium Development Goals on 16 November 2009.
Prof. Kirk R. Smith, Director, Global Health and Environment Programme, delivered a lecture on Indian Newborn Stove (NBS) Programme on 11 December 2009.
Dr. Chee Ng, Asso. Professor, University of Melbourne, delivered a lecture on Community Mental Health Reform in Australia on 18 December 2009.
Dr. P. Ravinderan, Director (Medical Emergency Relief), DGHS, and Dr. L. Swasticharan, CMO, DGHS, delivered a lecture on H1N1 and Health Care Disaster Management on 30 December 2009.
Guest Lectures
Distance Learning CellThe Contact Programme for the PG Certificate Course in Health and Family Welfare Management was held from 30 November to 4 December, 2009 and was attended by 127 participants.
The Contact Programme for the PG Certificate Course in Hospital Management was held from 21 to 25 December, 2009 and was attended by 280 participants.
21 14-19 Dec. 09
Prof. U. Datta, and Dr. S.K. Chaturvedi
Management Training for In-Charges of CGHS Dispensaries
To build capacity of in-
charges of CGHS dispensaries regarding management of dispensaries.
To enhance the competency of faculty from Nursing and Medical Colleges/Home science colleges and Post Graduate from Medical Colleges to Train students and do IEC and Advocacy in Community for appropriate nutrition.
Global e-Health Survey in Collaboration with Ministry of Health and Family Welfare and WHO.
To gather evidence on trends and uptake of the use of ICT for e -health in the country.
16
Delhi-16
8
Capacity Building of Human Resources in Training Technology with Special Focus on Quality of Health Care
A Training Course on 'Capacity Building of Human Resources in Training Technology with special focus on Quality of Health Care' was held during 23-27 November 2009 at Goa. The Course was conducted in collaboration with GTZ and EPOS, India. 33 Senior and Middle Level Administrators and Faculty from 11 States (Delhi, Haryana, Bihar, Uttar Pradesh, Assam, Rajasthan, Punjab, Orissa, Gujarat, Himachal Pradesh and Andhra Pradesh) participated in the course. The Course was inaugurated by Prof. Deoki Nandan, Director, NIHFW.
A distinguished team of external resource persons; including the learned International faculty from GTZ and EPOS, India, namely Ms. Sylvia Jeanette Sax and Dr. Kai Stietenroth, International Public Health Consultant, served as resource persons. Mr. Bejon Kumar Misra, and Mr. S. Malikarjuna, Consultant, (GTZ) also served as resource persons.
Prof. Deoki Nandan, Director, NIHFW, Prof. Neera Dhar, Prof. Vivek Adhish, and Dr. Sanjay Gupta, Reader, were the resource persons at the national level from the Institute .
The Course was coordinated by Prof. Neera Dhar, Mr. J.P. Shivdasani and Dr. Ankur Yadav under the able guidance of Prof. Deoki Nandan.
Extramural Activity
Evaluation of MAMTA Scheme in Delhi - supported by the Government of Delhi
The study undertaken by the Department of Planning and Evaluation is nearing its completion. The objectives of the study are to:
examine the physical and financial performance of the scheme since its inception;assess the status of facilities and services provided by MAMTA as per the guidelines;assess the role of government health functionaries; including community health workers and their awareness about the scheme;understand client perception about the accessibility to the services and constraints, if any, in availing of services from MAMTA-friendly hospitals;assess the perception of service providers registered under the MAMTA scheme and their views on financial packages provided under the scheme;solicit the views of health administrators and programme managers on the implementation of the scheme;assess the benefits of the scheme in terms of coverage, reduction in ante-natal and post-natal complications, and improvement in newborn care; and suggest mechanisms for further improvement in the scheme.
Research Brief
9
Activities of the Director
All the training courses, workshops and meetings organized in the Institute were held under the leadership of Prof. Deoki Nandan. Besides his involvement in the activities of the Institute; being an expert in the field of public health, he took part in the following meetings/panel discussions/workshops, etc during the quarter:
Attended the RCH-NRHM Regional Meetings on 8, 9 and 13 October
2009 at NIHFW.
Attended the International Workshop on Micro-nutrients and Child
Health at All India Institute of Medical Sciences, New Delhi, during 20-
23 October 2009.
Chaired the Stakeholders Meeting for Operational Evaluation of Health Account Number Scheme, held on 28 October
2009 at the ICMR Headquarter.
Attended a meeting to identify areas of partnership for development of National Health Portal, as per the
recommendation of the National Knowledge Commission under the chairmanship of DGHS, on 30 November, 2009 at
Nirman Bhavan, MOHFW.thAttended the 49 Annual Conference of National Academy of Medical Sciences (NAMSCON-2009) and delivered a talk
on “Burden of Life Style Diseases in India” during 30-31 October 2009 at the CSMM University, Lucknow, Uttar Pradesh.
Visited Bihar under the Common Review Mission of National Rural Health Mission during 4-9 November 2009.
Successfully organised the Public Health Conclave in NIHFW during 13-14 November 2009.
Attended the NZ-IAPSM XIII Annual Conference, held on 15 November 2009 at Gian Sager Medical College and
Hospital, Patiala, Punjab.
Attended the Expert Committee Meeting on Amendments to the MTP Act, organised by the Ministry of Health and
Family Welfare, on 16 November 2009 at NIHFW, New Delhi.
As a member, attended the first Technical Advisory Group (TAG) Meet on Annual Health Survey, constituted by the
Ministry of Health and Family Welfare, held on 17 November 2009 at MOHFW, Nirman Bhawan.
Attended a one-day workshop on Improved Child Survival, jointly hosted by NIHFW/NCHRC, NIPI and ACCESS
Health Initiative, on 19 November 2009 at the Indian Institute of Business, Hyderabad.
Attended the IX ICM Regional Asia Pacific Midwives Conference 2009 on 20 November 2009 at Hyderabad, Andhra
Pradesh.
Graced as the Chief Guest in the 12th Annual IAPSM, UP and Uttarakhand Chapter Conference held on 21 and 22
November 2009 at Hind Institute of Medical Sciences, Barabanki, Uttar Pradesh.
Conducted the Training Course on Capacity Building of Human Resources in Training Technology with Focus on Quality -of Health Care, held during 23- 27 November 2009 at Goa.
Graced as the Chief Guest at the HIV/AIDS Awareness Programme and Blood Donation Camp on 1 December 2009 at
Hamdard University, organised by the Rufaida College of Nursing, Jamia Hamdard, New Delhi.
Took a session on ‘Management of Change in Health Sector’ in a training programme on Induction Training for Freshly
Recruited Medical Officers, organised by the Haryana Institute of Public Administration on 1 December 2009 at HIPA,
Gurgaon, Haryana.
Attended the meeting on Maternal and Child Under-nutrition, chaired by the Secretary, Ministry of Women and Child
Development, on 3 December 2009 at Shastri Bhavan, New Delhi.
As a member of the UGC Review Committee, visited International Institute for Population Sciences, Mumbai, to review
its functioning during 4 -5 December 2009.
Convened the NIHFW Alumni Association Meeting at the Institute on 6 December 2009.
Attended the Scientific Advisory Committee Meeting of the National Institute of Medical Statistics (ICMR) on 7
December 2009.
Attended the Meeting to review the progress of Annual Health Survey chaired by the Secretary (H&FW) on 8 December
2009.
Organised the round table discussion on Partnering with USAID/Health Policy Initiative on Family Planning Initiative
and Future Direction for India, held on 9 December 2009 at NIHFW, New Delhi.
Attended the Executive Council Meeting of the Chhatrapati Shahuji Maharaj Medical University, UP, on 10 December
2009 at Lucknow.
Attended the 42nd Annual National Conference of the Indian Dietetic Association on 12 December 2009 as guest of
honour at CSM Medical University, Lucknow, Uttar Pradesh.
10
Activities of the Faculty and Staff Prof. M. Bhattacharya, Head, Department of Community Health Administration
Prepared reports on (i) An Assessment of Institutional Deliveries under JSY at different Levels of Health Care in Jaipur District, Rajasthan; and (ii) Epidemiological Profiling of HIV/AIDS Situation at District/Sub-District Level in Gujarat Using Data Triangulation.Organized a 3-day workshop on Epidemiological Profiling of HIV/AIDS Situation at District/Sub-District Level in
Gujarat Using Data Triangulation during 2-4 October 2009 at NACO, New Delhi.Attended a meeting on the progress of HSS 2008 on 30 October 2009 at NACO, New Delhi.
thWas conferred with the membership of National Academy of Medical Sciences (NAMS) in its 49 Annual Conference, held on 31 October 2009 at Chhatrapati Shahuji Maharaj Medical Univeristy, Lucknow.Attended a meeting of National and Regional Institutes and State Epidemiologists on HIV Sentinel Surveillance, held on 5 November 2009 at NACO, New Delhi.Delivered a lecture on Gender Issues in Health on 10 November 2009 at the Indian Institute of Public Administration (IIPA), New Delhi.Attended the launch of the project- Assessing and Supporting Norway India Partnership Initiative (NIPI) on 11 December 2009 held at Essex Farms, Aurobindo Marg, New Delhi.Attended the meeting on Multi-centric Study to Assess the Burden of Disease-Leprosy in India, held on 16 December 2009 at the Indian Council of Medical Research, Ansari Nagar, New Delhi.
Prof. T. Mathiyazhagan, Head, Department of CommunicationNominated by Central TB Division of the Ministry of Health and Family Welfare as a member of advisory group at National Level for the Revised National Tuberculosis Control Programme for advising on Advocacy, Communication and Social Mobilization Activities. Served as an expert member of IEC/BCC in the meetings organized by National Vector Borne Disease Control Programme, Directorate General of Health Services, Ministry of Health and Family Welfare, New Delhi, on 1 October, 6 November and 21 December 2009. Served as a member in a meeting to finalise the programmes for broadcast in relation to health and family welfare on 16 October 2009 at All India Radio, New Delhi.
Prof. U. Datta, Head, Department of Education and TrainingAttended the Selection Committee Meeting for RCH/NRHM Consultant on 9, 10 and 27 November, 2009 at SIHFW, Panchkula .Organizing Secretary for the Public Health Conclave held on 13 and 14 November, 2009 at NIHFW.External Resource Person for Management Training of Sister Tutor of MP on 30 and 31 December, 2009 at SIHFW, Gwalior.As an Expert visited State of Orissa for assessment of EMOC training on 3 and 4 November and 9, 10,11 and 12 December, 2009.
Prof. Y.L. Tekhre, Department of Social SciencesPublished a chapter titled 'Sustainability through People's Participation in the Health Sector' in the book- ENVIRONMENTAL CONCERNS AND SUSTAINABLE DEVELOPMENT: SOME PERSPECTIVES FROM INDIA. Edited by Sakarama Somayaji and Ganesh Somayaji, published by TERI PRESS, The Energy and Resources Institute, Darbari Seth Block, IHC Complex, Lodhi Road, New Delhi.Delivered a lecture on 'Health Education and Nutrition: Key Determinants of Population Change,' in the Training Programme for State Resource Persons in Population Education, organised by NCERT, New Delhi on 13 November 2009.Organised advocacy workshops for media personnel under the title- Media Karmiyon ke liye Rashtriya Grameen Swasthya Mission par Aadharit Ek Divseeya Karyashala in two States namely- Uttar Pradesh and Bihar on 30 October and 9 November
As a Special Invitee delivered a lecture on Integrated Training under NRHM in the Workshop for Preparation of State
PIP 2010-11, organised by the Delhi State Health Mission on 15 December 2009.
Organised a Workshop on National Health Information Collaboration on 17 December 2009 at NIHFW.
Chaired a session in the dissemination meeting of the IX ICM Asia-Pacific Midwives Conference on 17 December 2009 at
NIHFW.
Attended the Dissemination Workshop for Sharing the 3rd CRM Reports with All Stakeholders, held on 22 December
2009 at Vigyan Bhavan, New Delhi.
Participated as a Resource Person in the session on Researchable Issues on Managing Diabetes Mellitus in Peripheral and
Specialised institutions– Public Health Approach, in the workshop on Diabetes Mellitus on 29 December 2009 at Medical
College, Tanda, Kangra, Himachal Pradesh.
11
2009 respectively. Published an article titled 'Indigenous Health Practices among Andhra Tribals' in Health and Population: Perspectives and Issues, Vol. 32, No.1, January-March 2009. Delivered a lecture on “Men's Involvement in Child Rearing” on 3 December 2009 in the training course on Safe Motherhood, organised by Rajdhani Cluster Programme Unit Plan, India, at the Central Government Cultural and Resource Centre, Sector 7, Dwarka, New Delhi. Published a research paper titled- 'A Rapid Appraisal of Functioning of Rogi Kalyan Samitis in Uttarakhand’ as a co-author in a special issue of the quarterly journal of the Indian Public Health Association, on Rapid Appraisal of Health Interventions, Vol. 53, No.3, July-September 2009.
Prof. S. Menon, Departmnet of Reproductive BiomedicineAttended the expert group meeting organised by the All India Institute of Medical Sciences, New Delhi and WHO to finalise the Wheel for Medical Eligibility Criteria for Contraceptives in October and November 2009.Took session on ‘Counselling’ as applicable to NSV in International Training Course for No-Scalpel Vasectomy (NSV) for candidates from Ethiopia (26-30 October 2009).
Took sessions on Mainstreaming Gender Issues and Current Status of NRHM in Haryana Institute of Public Administration, Gurgaon, on 20 October 2009 in the Induction training Course for Medical Officers.
Took session on 'Identification of high risk mothers and management of complications during Post-partum period' for the participants of workshop on 'Role of nurses in maternal and newborn care' on 20 November 2009 at Trained Nurses’ Association of India, New Delhi.Coordinated the two-day workshop on 27 and 28 November 2009 in NIHFW for piloting 'Foundation Course for Reorientation of Medical Officer in Basic Essential Obstetric Care'. This was conducted by MOHFW and NIHFW in collaboration with Liverpool School of Tropical Medicine (LSTM) , Liverpool, U.K.
Prof. M.M. Misro, Department of Reproductive BiomedicineNominated as a member of the National Advisory Committee for the “National Symposium on Comparative Endocrinology and Reproductive Physiology: Current advances” held in Mumbai, 17-19 December 2009.Delivered a lecture in the National Symposium on ‘Comparative Endocrinology and Reproductive Physiology: Current Advances’ held in Mumbai, 17-19 December 2009.Delivered a lecture in the Annual Conference of Society of Andrology, India, at Jodhpur on 20-22 December 2009.Acted as an examiner for Ph.D. thesis of Mr. Subodh Kumar, Department of Molecular Medicine, JNU, New Delhi.As the coordinator, completed the Annual training course on ‘Application of Research Techniques in Reproductive Biomedicine’, 16-27 November 2009.A paper titled ‘Provider's Knowledge, Attitude and Dispensing Practice of E-pills Across Various Government Dispensaries in South district of Delhi’, has been accepted for publication in the Indian Journal of Community Medicine.As an expert member, attended a meeting of the IRB at PSRI for evaluating research projects on 12 November 2009.
thNominated as an expert for the selection of veterinary supervisor in Animal house on 12 December 2009 Dehi.As the coordinator conducted the laboratory visit and demonstrations for third year Hindu College students of Zoology, special paper on Reproductive Biology, on 10 December 2009.As the coordinator conducted the laboratory visit and demonstrations for third year Hindu College students of Zoology, special paper on Reproductive Biology, on 16 December 2009.
Prof. T. G. Shrivastav, Department of Reproductive BiomedicineDelivered lecture on “Cancer and Immunity” on December 21, 2009 at Biochemistry Department of MS University of Baroda, Vadodara. Conducted Viva-Voce for the Ph.D. thesis entitled “Studies on Development Stage Specific Endocrine Disruptions Mediated by Lead and Cadmium on Hypothalamic Pituitary Gonadal Axis and Hepatic Steroid Metabolism in Rats” submitted to The Maharaja Sayajirao University of Baroda, Vadodara on December 21, 2009.Adjudicated the Ph.D. thesis entitled "Expression of Membrane Melatonin Receptor and Receptor mRNA on Lymphoid Tissue of a Tropical Seasonal Breeder, Funambulus pennanti under Different Experimental Conditions" submitted to Banaras Hindu University, Varanasi.
Prof. Rajni Bagga, Head, Department of Management SciencesPresented papers- A Study to Review Nursing Management Capacity in Selected States: UP, WB and TN; and Midwifery Management Capacities for Maternal Health; and in the IX ICM Regional Asia-Pacific Midwives Conference, held during 19-22 November 2009 at Hyderabad. She also conducted a workshop on Developing Assertivity Skills for Nurse Managers in this conference. She published five reports on the study in collaboration with Indian Institute of Management, Ahmedabad. Presented the findings of the Study on Assessment of Nursing Management Capacity in the States of Uttar Pradesh, West Bengal and Tamil Nadu and released the reports in the National Dissemination Workshop on Development of Midwifery
at NII, New
and Emergency Obstetric Care (EmOC) held during 15-16 December 2009 in New Delhi.Delivered a lecture on Communication Skills and Conflict Management on 1 December 2009 at Indian Institute of Public Administration, New Delhi.
Prof. V.K. Tiwari, Head, Department of Planning and Evaluation, attended a six-week training programme on Epidemiology and Biostatistics from 5 October to 14 November 2009 at the Epidemiology Unit, Faculty of Medicine, Prince Sonkhla University, Thailand, as a WHO Fellow.
Dr. Meerambika Mahapatro, Reader, Department of Social SciencesAttended International Workshop on Micro-nutrients and Child Health during 20-23 October 2009 at All India Institute of Medical Sciences, New Delhi.Short listed for Indian Social Science Research Award (IDRC) 2009 under the issue of Equity in Health System.Examiner for M. Phil dissertation submitted to Jawaharlal Nehru University, New Delhi.Attended National Consultation on Wheat Flour Fortification on 4 December 2009 at India Islamic Cultural Centre, New Delhi.
Dr. K.S. Nair, Lecturer, Department of Planning and Evaluation, attended a review meeting of MAMTA scheme, on 23 October 2009 organized by Delhi Government.
Dr. L. Piang, Lecturer, Department of Statistics and DemographyAttended a workshop on Capacity Building of Human Resources in Training Technology with Focus on Quality Health Care, organized by NIHFW in collaboration with GTZ and EPOS, Health India, during 23-27 November 2009 at Goa. Monitoring visit under Evaluation of Maternal and Child Health, conducted by ORG India, during 1-5 December 2009 at Goa.
Dr. Rajesh Kumar, Lecturer, Department of Reproductive Biomedicine, has been awarded the National Academy of Medical Sciences Fellowship under the Scientist Exchange Programme to National Institute of Research on Reproductive Health (NIRRH), Mumbai.
Dr. Devabrata Sinha, Senior Medical Officer, RBM Clinic, was involved in the Intensive Pulse Polio Immunization on 11 October and 6 December 2009.
Dr. Geetanjaly, Medical Officer, RBM Clinic, was involved in the Intensive Pulse Polio Immunization on 8 November 2009.
Dr. S.K. Chaturvedi, Part Time Faculty, Distance Learning Cell, delivered Lecture on Various Health Laws (Consumer Protection Act, Drug and Cosmetic Act etc.) on 12 November 2009 at the State Institute of Health and Family Welfare, Panchkula, Haryana.
Mr. J.P. Shivdasani, Research Officer, Department of Education and Taining, coordinated workshop on Capacity Building of Human Resources in Training Technology with Focus on Quality Health Care, organized by NIHFW in collaboration with GTZ and EPOS, Health India, during 23-27 November 2009 at Goa.
Ms. Vaishali Jaiswal, ARO, published a paper, Nirmal Gram Puraskar- A New Beginning, in the October 2009 issue of Health Action. Another paper titled Global Warming and the Challenges Posed by Climate Change is published in the special issue of World Focus on Environment and Sustainable Development, September 2009. She also attended the Technical Consultation on Advanced Cook Stoves for Improved Health of Women and Children on 10 December 2009 at India Habitat Centre, New Delhi.
Ms. Vinod Joon, ARO, presented a paper on Exhaled Carbon Monoxide as Bio-marker of Exposure to Cooking Fuel Smoke in the International Conference on Occupational and Environmental Health during 17-19 December 2009 at Maulana Azad Medical College, New Delhi. Her paper titled Global Warming and Challenges Posed by Climate Change is published in the September 2009 special issue of World Focus on Environment and Sustainable Development.
Bishnu Charan Patro, Sub-Editor (English), has been conferred with Doctorate Degree for his Ph.D. research on IEC Aspects of Health Care Strategies and their Effectiveness: A Study of RCH Programme in Orissa.
Mr. Giriraj G. Halkar, Library Assistant, presented a paper- Comparative Evaluation of Medical Databases on HIV/AIDS Research in India: An Analytical Study, in the International Conference on Research and Innovation in Information Systems at Johor Bahru, Malaysia, during 8-9 December 2009.
12
13
Public Health Conclave
The Public Health Conclave was organized for 2 days from 13 to 14 November 2009 in collaboration with World Health Organization (WHO) and Norway India Partnership Initiative (NIPI) at NIHFW. The conclave was attended by more than 100 participants from all over the country and speakers from the Ministry of Health and Family Welfare, World Bank and NIHFW addressed the participants.
The main objective of the Conclave was to provide a platform for various institutions and associations working in the field of public health for discussing the various present and future challenges in public health to frame the strategies for raising the public health standards in the country.
Outcomes of the Conclave
To build a networking of public health institutions/associations for betterment of
health care delivery system.
i) Networking of academic institutions established: To fulfill this public health
responsibility, the National Institute of Health and Family Welfare (NIHFW),
New Delhi, has collaborated with the Departments of Preventive and Social
Medicine of 175 Medical Colleges, 171 Nursing Colleges, 175 NGOs, 46 CTIs, 13
other academic institutions/associations with the aim of developing strategies
for greater involvement of partner institutions in national public health
programmes through capacity building for education and research in India.
ii) Networking with district authorities: It was decided that involvement and networking
of Medical Colleges, districts authorities and SIHFWs are important for
imparting training for skills upgradation, as researches proved that good quality
training is an important component for upgrading the skills of Medical Officers
by almost 30 per cent.
WHO NIHFW
14
To provide a common platform to
various institutions/associations in
working for a common cause.i) Efforts made to strengthen the public
health education and research: T h r o u g h n e t w o r k a n d partnership, specifically, the Conclave fulfilled its aim by providing a common forum for various institutions/associations working in the field of public health. In the congregation organized at NIHFW for 2 days, the state health officials, academicians, public health professionals, trainers and students in field of public health deliberated upon the efforts undertaken for achieving the national objectives and further explore the possibility of collective efforts towards the common goals of strengthening the District Health Systems.
ii) Role of NIHFW delineated: To achieve the NRHM goals, the problems of malnutrition, mortality and morbidity have to be addressed with time bound action plan implementation. The areas of concern of NIHFW in primary health care were delineated in this regard.
iii) Medical fraternity urged to take necessary steps: The Medical College fraternity was urged to take action and pave the way forward towards raising the standards of public health in the country.
iv) Redesigning of public health system explored: It was uniformly agreed that there is a need to redesign the public health system in low resource area/settings and demystification of specialized fields in health.
To provide a platform for sharing of experience by various public health academicians and professionals and
identify researchable areas for collaborative research.i) NIHFW identified a common platform for experience sharing: NIHFW has been identified as an ideal partner to facilitate the
mainstreaming of the Department of Community Medicine in Medical Colleges, Nursing Colleges and other public health education and training institutions for the health care delivery system of the country by providing a platform for capacity building of these institutions through networking.
ii) Decision made to identify gaps and corrective steps in service delivery: It was agreed by all concerned that the achievement in terms of performance indicators has improved in our country. However, these indicators are very low when compared with other countries, which have almost the same socio-cultural ethos and health set-up as ours.
iii) Some key researchable areas identified: The group agreed that certain key areas of research with regard to health facilities and vulnerable population of the country need to be addressed.
To disseminate the ongoing initiatives in the field of public health for improving health care delivery system in the country.i) Dissemination of information for capacity building: NIHFW has the mandate for capacity building and therefore has
disseminated relevant information in CDs to the Medical Colleges.ii) Updation of information: It was agreed by MOHFW that information on paradigm shift needs to be sent regularly to the
Medical Colleges through circulars as the website of MOHFW is not always accessible to many Medical Colleges.iii) Development of databank for research: It was agreed that NIHFW would assist the state governments to prepare databank
on mortality issues which requires “capturing of data and constant feedback to be given”. In this context, NIHFW takes a lead role in partnership with NCHRC and NNF to bring the professional bodies like IPHA and IPSM to work systematically on a common platform.
15
Punjab may adopt Tamil Nadu's healthcare model Hon'ble Chief Minister of Punjab, Shri Parkash Singh Badal asked officials to examine the feasibility of adopting the Tamil Nadu healthcare model in the state to ensure better procurement of high quality medicines and equipment on 29 December, 2009.
The review committee, which was constituted by Shri Badal in 2007, assigned the
work of detailed study of health institutions working under the Punjab Health
System Corporation (PHSC), in the 10 districts of the state, to the National
Institute of Health and Family Welfare (NIHFW), New Delhi.
The State spokesperson said that the main objective of this exercise was to enhance
the quality of healthcare at the secondary level so as to provide effective referral and
linkage with primary health care institutions and service providers.
Further, he said that on the basis of this report, Shri Badal has directed the state to
implement the recommendations of the review committee in a time bound manner. He has also asked the PHSC to examine
the feasibility of adopting Tamil Nadu's model which is recognized as successful at the national level.
The core members of the review committee included Prof. K.K. Talwar, Director, Post-graduate Institute of Medical
Education and Research (PGIMER), Chandigarh; Prof. P.K. Dave, Former Director, All India Institute of Medical Sciences
(AIIMS), New Delhi; and Prof. Deoki Nandan, Director, National Institute of Health and Family Welfare (NIHFW), New
Delhi.
(Source: Sify.com, 29.12.2009)
A Study to Review
National Institute of Health and Family Welfare
Baba Gang Nath Marg, Munirka, New Delhi - 110067
The Health Care Delivery System Provided by PHSC
PunjabPunjab Health Systems Corporation
vkjksX;e~ lq[klEink
Forthcoming Training Courses/Workshops/MeetingsS. No.
Name of Course(s) Coordinator (s)
No. of Courses
Expected Participants Duration Dates
1. Training on IT Application for Information Management in Medical Libraries
Sh. Salek Chand
1 Librarians from Medical Colleges/Nursing Colleges
5 days Feb. 8-12, 2010
2. Training Course on Hospital Management for Senior Hospital Administrators
Prof. J.K.Das 1 Hospital Superintendent from Govt./Pvt./Autonomous Hospitals
3 weeks Feb. 8-26, 2010
3. Training Course on Public Health Nutrition
Prof. M. Bhattacharya
1 Participants from Medical Colleges, Nursing Colleges, Home Science Colleges etc.
Printed and Published on behalf of the Director at:
National Institute of Health and Family Welfare(Ministry of Health and Family Welfare, Government of India)Munirka, New Delhi-110 067
Editor-in-Chief: Prof. Deoki NandanEditor: Prof. T. MathiyazhaganAdvisors: Prof. M. Bhattacharya
Prof. Neera DharAssistant Editors: Dr. K.S. Nair
Dr. Ankur YadavMr. J.P. ShivdasaniDr. B.C. PatroMr. Ravi Tewari
New Appointments
1. Dr. Swati Bute joined as Lecturer (Print-Media)on 22 December 2009 against leave vacancy.
2. Miss Deepti T.V. joined as Lower Division Clerk on 1 October 2009.
3. Mr. Mahesh Chand joined as Junior Hindi Translator on 9 October 2009.
4. Mr. Amarnath Gupta joined as Junior Engineer (Civil) on 19 November 2009.
Promotions
The following personnel have been promoted on 9 October 2009: 1. Ms. Satya Sharma has been promoted to Steno Gr. I. 2. Mr. R. N. Tiwari has been promoted to Steno Gr. I on ad-hoc basis. 3. Mr. Pramod Kumar has been promoted to Steno Gr. II. 4. Ms. Kiran Arora has been promoted to Steno Gr. II on ad-hoc basis. 5. Mr. Jagdish Chander has been promoted to DEO Gr. E.
News from Administration
Retirements
Mr. Ram Bahadur, Assistant Store Keeper, receiving a bouquet from Prof. K. Kalaivani
Mr. Kailash, Daftry, receiving a bouquet from Prof. Deoki Nandan, Director, NIHFW
Director and Staff Wish You a Very Happy and Prosperous
